Shanita Lashawn Polk
Shanita Lashawn Polk is a Clinical Medical Laboratory in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.
- Licensed in
- KY
- In the registry since
- 2013
Practice location Address checks out
3411 Sumac RdLouisville, KY 40216-3336
Phone: (502) 572-5058
Fax: (502) 614-5739
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Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X · Licence 017585 (KY) |
|---|
Record details
| NPI number | 1932543683 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 24, 2013 |
| Last updated in NPPES | May 9, 2013 |
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